Organization
FIRST CORNERSTONE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHINWE IBIAM PMHNP-BC (OWNER)
(678) 523-5242
Entity
Organization
Contact information
Practice address
743 MCCONNELL RUN XING, GRAYSON, GA 30017-7828
(877) 999-0102
Mailing address
743 MCCONNELL RUN XING, GRAYSON, GA 30017-7828
(877) 999-0102
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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